Final answer:
The nursing diagnoses for the patient with pneumonia are impaired gas exchange, risk for activity intolerance, and ineffective self-health management.
Step-by-step explanation:
The nursing diagnoses for the 72-year-old patient with pneumonia are as follows:
- Impaired gas exchange - This is a short-term priority for the patient, as their symptoms indicate respiratory distress and lower oxygen saturation levels. Proper gas exchange is crucial for maintaining adequate oxygenation of the body.
- Risk for activity intolerance - This is a long-term priority as the patient's respiratory distress increases when they walk. Activity intolerance may limit their ability to perform daily activities and require gradual adjustments.
- Ineffective self-health management - This is an intermediate priority, as the patient's failure to get their pneumonia vaccine and delay in seeking medical help show a need for improved self-management of their health.